Individual provider · Type 1 NPI

Jessica Ray Cristallo

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1205178936 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4321 Map

Mailing address

520 Bennington Ln
Lakewood, NJ 08701-5795

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205178936

Jessica Ray Cristallo's National Provider Identifier is 1205178936, issued on Mar 20, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 20, 2013.